Each year, thousands of people in Hyderabad and throughout Telangana experience sudden chest pain, difficulty breathing, or a rapid heartbeat—and instantly fear they may be having a heart attack. However, in many cases, these alarming symptoms are due to panic attacks. These intense episodes of anxiety can closely mimic the signs of a heart attack, making it difficult to tell them apart without expert evaluation.
Understanding the difference between panic attack vs heart attack Hyderabad Telangana is crucial for getting the right care quickly and avoiding unnecessary panic or delayed treatment.
At Bharosa Neuro-Psychiatry Hospitals in Hyderabad, we regularly treat patients from Telangana and neighboring states like Andhra Pradesh who arrive at our emergency unit fearing a heart-related emergency. Upon careful medical and psychiatric evaluation, many are found to be experiencing a severe panic attack—an episode rooted in emotional and neurological distress rather than physical heart disease.
Distinguishing between the two conditions is not just important; it can be life-saving. A heart attack requires immediate cardiac intervention, while a panic attack demands expert mental health care. Misidentifying one as the other can result in delayed or inappropriate treatment.
Both panic attacks and heart attacks begin suddenly, often with intense physical symptoms. While they can appear similar, there are key differences:
Panic Attack Symptoms
- Intense fear or an overwhelming sense that something terrible is happening
- Pounding or racing heartbeat
- Sudden sweating not caused by physical exertion
- Shortness of breath or rapid breathing
- Chest tightness without radiating pain
- Numbness or tingling in the hands or feet
- Feeling of choking or being unable to breathe
- Lightheadedness or nausea
- Symptoms typically peak within 10 to 20 minutes
Heart Attack Symptoms
- Crushing chest pain or pressure that may spread to the jaw, neck, or left arm
- Shortness of breath, even during rest or mild activity
- Profuse cold sweating
- Persistent nausea or vomiting
- Sudden extreme fatigue
- Dizziness or fainting
- Pain is more persistent and tends to intensify over time
At Bharosa Neuro-Psychiatry Hospitals, Hyderabad's emergency care services are supported by structured protocols. These help us quickly differentiate panic attack vs heart attack Hyderabad Telangana—especially important when symptoms overlap or when individuals have a history of both anxiety and cardiac issues.
Panic Attack Causes
- Prolonged stress or diagnosed anxiety disorders
- Intense emotional distress or trauma
- Alcohol or drug withdrawal
- Past traumatic events
- Genetic predisposition in families
People at Higher Risk Include
- Individuals diagnosed with panic or generalized anxiety disorder
- Those exposed to chronic stress, such as IT professionals, students, and caregivers
- Urban populations in cities like Hyderabad where the fast-paced lifestyle contributes to burnout
Heart Attack Causes
- Coronary artery disease
- Uncontrolled high blood pressure or cholesterol
- Diabetes or obesity
- Smoking, alcohol abuse
- Family history of heart disease
- Physical inactivity
While heart-related problems are rising in Telangana due to changing lifestyles, there is also a significant uptick in anxiety-related conditions causing chest discomfort and similar symptoms. Academic pressure, job stress, and reduced social support since the pandemic have contributed to this trend.
Recognizing the underlying cause is critical in correctly diagnosing panic attack vs heart attack Hyderabad Telangana and ensuring patients receive appropriate treatment.
When you arrive at Bharosa Neuro-Psychiatry Hospitals in Hyderabad with symptoms like chest pain or shortness of breath, our team initiates an evidence-based diagnostic process that promptly identifies the root cause:
Step 1: Rule Out Heart Attack
- Electrocardiogram (ECG) and blood tests, including troponin levels
- Monitoring of oxygen levels, blood pressure, and heart rate
- Cardiac imaging like an echocardiogram, if needed
Step 2: Comprehensive Mental Health Evaluation
- On-the-spot psychiatric consultation
- Diagnostic interview based on DSM-5 criteria
- Review of personal and family mental health history
- Identification of recent life stressors (e.g., breakup, job loss, academic pressure)
This dual strategy helps our specialists detect whether a patient is suffering from a heart condition or panic-related anxiety. It allows timely and effective management of panic attack vs heart attack Hyderabad Telangana right within our emergency care setup.
Treating Panic Attacks
Medications
- SSRIs (Selective Serotonin Reuptake Inhibitors) for long-term anxiety control
- Short-term benzodiazepines during acute episodes
- Beta-blockers to manage symptoms like palpitations
Therapies
- Cognitive Behavioural Therapy (CBT) to address distorted thinking
- Trauma-focused therapy, if past events are triggering attacks
- Breathing exercises and mindfulness techniques
Lifestyle Changes
- Daily physical activity for mood regulation
- Consistent sleep patterns
- Reducing or avoiding alcohol and caffeine
Treating Heart Attacks
Emergency Care
- Nitroglycerin to ease chest pain
- Antiplatelet drugs like aspirin
- Thrombolytics to dissolve clots
- Emergency procedures like angioplasty or bypass surgery
Long-Term Management
- Cardiac-specific medications to prevent future episodes
- Diet and exercise programs
- Ongoing heart health monitoring
At Bharosa Neuro-Psychiatry Hospitals, we coordinate with cardiology specialists across Hyderabad. This integrated model helps us offer holistic care when both physical and mental health concerns intersect—especially in cases where symptoms resemble panic attack vs heart attack Hyderabad Telangana.
We take a unique, patient-centric approach to help you understand and navigate concerns around panic attack vs heart attack Hyderabad Telangana. At Bharosa Hospitals, we offer:
- 24/7 emergency psychiatric evaluations alongside medical screening
- Immediate access to ECGs, lab tests, and cardiac evaluations
- Collaboration between emergency medicine, psychiatry, and cardiology teams
- Specialty programs for anxiety, stress, and trauma
- Substance withdrawal detox with mental health support
We’re proud to be the first psychiatry-focused center in Telangana offering concurrent cardiac and psychiatric diagnosis on the same campus. Our services support not just Hyderabad residents but also patients from Vijayawada, Warangal, Kurnool, and other regions of Andhra Pradesh.
Advancements in technology now make expert help more accessible than ever. With our Bharosa App launching on January 28, 2026, getting support for conditions like panic attack vs heart attack Hyderabad Telangana will be just a tap away.
Features of the Bharosa App:
- Quick appointment booking with Hyderabad’s top psychiatrists
- Secure voice and video consultations for anxiety and panic concerns
- AI-guided chat for immediate emotional support
- Anonymous peer support chat rooms
- Real-time guidance during panic attack episodes
This homegrown app is designed for people across Hyderabad, Telangana, and Andhra Pradesh, helping bridge the gap between urgent need and immediate access in mental healthcare.
Heart attacks often involve pain radiating to the jaw or left arm and don’t fade quickly. Panic attacks, though intense, usually peak and subside within 20 minutes and rarely involve radiating pain.
Yes, nocturnal panic attacks do occur. They can wake you suddenly with a pounding heart, breathlessness, or intense fear. Prompt evaluation is recommended.
Yes. This is often referred to as cardiac anxiety or health anxiety and it is treatable with focused psychiatric support and therapies like CBT.
Absolutely. At Bharosa Hospitals Hyderabad, we often treat patients with both cardiac concerns and anxiety, offering integrated care involving both psychiatrists and cardiologists.
While not life-threatening, untreated panic attacks can severely affect your quality of life and may evolve into chronic anxiety disorders. Early psychiatric intervention is key.

Experiencing chest tightness, a racing heart, and overwhelming fear can be terrifying—especially when you’re unsure whether it’s a heart emergency or a panic attack. It’s a moment where knowing the difference between panic attack vs heart attack Hyderabad Telangana can change everything.
At Bharosa Neuro-Psychiatry Hospitals in Hyderabad, we offer expert evaluation and compassionate care for both psychiatric and cardiac symptoms. With a scientifically backed protocol, our team ensures you receive the right treatment at the right time.